<div class="row">
	<div class="col-xs-12">
		<div class="panel panel-midnightblue">
			<div class="panel-body">
				<form action="" class="form-horizontal row-border"  data-validate="parsley" id="validate-form">
					<div class="row">

						<div class="form-group">
							<label class="col-sm-3 control-label">区域名称</label>
							<div class="col-sm-6">
								<input type="text" id="name" required  name="name"  class="form-control" value="{$region['name']}">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">是否可用:</label>
							<div class="col-sm-6">
								<select class="form-control" name="status">
									<option value="0" {eq name="region['status']" value="0"}selected{/eq}>不可用</option>
									<option value="1" {eq name="region['status']" value="1"}selected{/eq}>可用</option>
								</select>
							</div>
						</div>
						<input type="hidden" value="{$region['id']}" name="id">
					</div>
				</form>
			</div>
			<div class="panel-footer">
				<div class="row">
					<div class="col-sm-6 col-sm-offset-3">
						<div class="btn-toolbar">
							<button class="btn-primary btn" id="form-submit">提交</button>
							<button class="btn-default btn" data-dismiss="modal">关闭</button>
						</div>
					</div>
				</div>
			</div>
		</div>
	</div>
</div>
<script type='text/javascript' src='{$Think.GYM_VIEW_JS}cabinet/regionEdit.js'></script>